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1578184990
SHANE NEWSOM
ALBUQUERQUE, NM
NPI
1578184990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
SHANE NEWSOM 390200000X
12300 MODESTO AVE NE
ALBUQUERQUE, NM 87122-2232
Phone number: 505-553-4835
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Mailing Address
SHANE NEWSOM 390200000X
12300 MODESTO AVE NE
ALBUQUERQUE, NM 87122-2232
Phone number: 505-553-4835
Copy
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